Treatment Seeking,Vaginal Discharge and Psychosocial Distress Among Women in Urban Mumbai

Vaginal discharge (safed pani in Hindi, meaning “white water”) is one of the leading symptoms for which women in India seek care. Treatment-seeking for safed pani is disproportionately high among poor women, representing a physical, emotional and financial burden for low-income families. Safed pani is only rarely indicative of a reproductive tract or sexually transmitted infection. The discrepancy between symptom reports and observed pathology has led some researchers to characterize safed pani as a culturally based expression of more generalized negative life situation. Data are drawn from two prevention intervention studies (2002–2006 and 2007–2012) conducted in economically marginal communities in Mumbai. Results show that husbands as problem generators and spousal abusers and women’s greater perceived empowerment and reported tension are significantly associated with safed pani. These results provide the basis for identifying women at greater risk for psychosocial distress and providing supports at the locations at which they seek treatment.     

Nitrimidazine Compared with Metronidazole in the Treatment of Vaginal Trichomoniasis

A new substituted nitroimidazole, nitrimidazine (Naxogin), is compared with the established drug, metronidazole (Flagyl), for the treatment of vaginal trichomoniasis in a randomized double-blind trial. Nitrimidazine cured 39 (68%) out of 57 patients and showed no undesirable effects other than nausea in one patient. Metronidazole cured 51 (89%) out of 57 patients and also caused nausea in one patient; this cure rate corresponds with that previously reported in other trials. In the recommended dosage nitrimidazine is inferior to metronidazole, but is sufficiently effective to be useful in cases of intolerance to metronidazole.     

腹腔镜辅助阴式全子宫切除术在巨大子宫肌瘤治疗中的应用价值

目的:研究腹腔镜辅助阴式全子宫切除术(Laparoscopic assisted vaginal hysterectomy,LAVH)在巨大子宫肌瘤(Huge leiomyoma uterus,HLU)治疗中的应用价值。方法:从2012年9月到2013年9月,选择在我院接受手术治疗的HLU患者130例作为研究对象。根据手术方案进行分组,其中LAVH组65例,TAH组65例,对比两组手术情况,术后并发症情况以及两组患者疼痛情况。结果:LAVH组的肛门排气时长、下床活动时长、住院时长均显著少于TAH组,但手术时长大于TAH组,差异均有统计学意义(均P0.05)。两组在术中出血量方面对比,差异无统计学意义(P0.05)。LAVH组的术后并发症与TAH组相比,差异无统计学意义(P0.05)。LAVH组的VAS评分及VDS评分均显著低于TAH组,差异均有统计学意义(均P0.05)。结论:LAVH术式在HLU中具有较大的应用价值,临床上应重视其适应证,优先选择此类术式,效果显著,值得临床关注。